Rebecca King-mallory, MD - Medicare Family Practice in Blacksburg, VA

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Rebecca King-mallory, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Blacksburg, Virginia. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wildwood Physician Services Llc, Lewis Gale Physicians Llc and her current practice location is 3700 S Main St Ste 1a, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 443-7180.

Rebecca King-mallory is licensed to practice in Virginia (license number 0101267630) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417306432.

Contact Information

Rebecca King-mallory, MD
3700 S Main St Ste 1a,
Blacksburg, VA 24060-7017
(540) 443-7180
(540) 443-3725

Map and Direction




Physician's Profile

Full NameRebecca King-mallory
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location3700 S Main St Ste 1a, Blacksburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rebecca King-mallory graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1417306432
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416206511
  • Enrollment ID: I20191204000727

Medical Identifiers

Medical identifiers for Rebecca King-mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417306432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MMD.39759 LL (South Carolina)Secondary
207QA0505XFamily Medicine - Adult Medicine 0101267630 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lewisgale Hospital MontgomeryBlacksburg, VAHospital
Lewisgale Medical CenterSalem, VAHospital
Lewisgale Hospital PulaskiPulaski, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wildwood Physician Services Llc185064931020
Lewis Gale Physicians Llc6507886231187

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rebecca King-mallory allows following entities to bill medicare on her behalf.
Entity NameLewis Gale Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902977705
PECOS PAC ID: 6507886231
Enrollment ID: O20051128000164
Entity NameFree Clinic Of The New River Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306273149
PECOS PAC ID: 5294963666
Enrollment ID: O20140414001357
Entity NameFree Clinic Of The New River Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548706609
PECOS PAC ID: 5294963666
Enrollment ID: O20171018002977
Entity NameWildwood Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629560917
PECOS PAC ID: 1850649310
Enrollment ID: O20180731003816

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca King-mallory is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rebecca King-mallory, MD
2000 Health Park Dr Fl Hp2,
Brentwood, TN 37027-4692

Ph: (615) 373-7600		Rebecca King-mallory, MD
3700 S Main St Ste 1a,
Blacksburg, VA 24060-7017

Ph: (540) 443-7180

Reviews and Comments


Family Medicine Doctors in Blacksburg, VA

Dr. Michael Howard Clary, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3700 S Main St, Suite A, Blacksburg, VA 24060
Phone: 540-443-7187    Fax: 540-443-7182
Mrs. Holli Dezaun Waller, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3700 South Main Street, Blacksburg, VA 24060
Phone: 540-953-5445    Fax: 540-953-5453
David Woodson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 215 Gilbert St, Blacksburg, VA 24060
Phone: 540-961-8040    Fax: 540-961-9466
Pete A. Guerra, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S Main St Ste D, Blacksburg, VA 24060
Phone: 540-418-1910    
Crystal Downer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3700 S Main St Ste 1a, Blacksburg, VA 24060
Phone: 540-443-7180    Fax: 540-443-3725
Andrea Lynn Hall, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1645 North Main Street, Blacksburg, VA 24060
Phone: 540-552-1246    Fax: 540-552-1247
Keith Peter Madsen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1420 N Main St, Blacksburg, VA 24060
Phone: 540-951-8380    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.